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.r Each demonstra�ion site is require�' to easure �ha: t'r_ei: r:��•;cie:s ci se:ivice <br /> follew all stace,�local liceasure reauiremenu when rende:ing all ot�e: in-home <br /> ca:e se:vices listed below i.e., homemakerl'pe:son�? c:ire �e^rces. i ct:se:ceepinQ <br /> " L se:vic�s. chore se:vices and companion sezvices. <br /> I. Sicilled Nunin� <br /> Skklle� nursing c2se ennsists oi t�ose sezvices wnich can only�e pe�ormed <br /> bv a lic�ased nurse (R.N., L.P.�. or LV.N.) to assure the s�ery of the <br /> paric:pant an� to acaieve the me�ically des:red result ac�cr:inQ to the <br /> pnysician's trea�ent pian. Other �Iedicare crite^a sLca as the <br /> inte:mirtent care and homebound re�uireme^u do not a��iy. See 2= CFR <br /> 409.��'_'(b)(1)-(�}. <br /> ? Rezabiiitarion �ursinQ`Se:vic�s ' <br /> Rehabilitarion nursing servic�s are those se:vices desi��e� �o assist in <br /> carr�rin� out a gBvsician's plan ot �eatme^t for re!�abiiitatien. These <br /> se:vic�s inc:ude si�Ile3 nursing se:vices, i.e., those se:vices that can only <br /> be pe:�ormea by a licensed nurse, such as assistauc� in pe:ior^.ui.nQ s�Iled <br /> the:any se:vices and sldlled obse:vation, ma.�.ntenanc� and evaluauon of <br /> the ne�d for �odincarion ot the trearment pian. These se:vic�s must be <br /> performe� by a re�iste:e: nurse with specialize� trainin; iT, re:�abilitation <br /> se:vices. <br /> 3. T"nera�� Servic�s <br /> T'ne:apv se:�rices ±s treatmeat to restore, inprove or maintai.n impaired <br /> func:ions, whica i� aimed at increasing or aaintainin; the participant's <br /> abiliry to pe:iorm those tasks rec}uired for incependent func�oni.n�. The <br /> se:vices must be pe:iormed by a c}uali.ned spe��h, phvsical or occupational <br /> the:apist or the�gist assistant under the supervision oi a quaiine3 spe�ch, <br /> gnysical or oc�sparional the:apist. <br /> 4. Horae Health Aide Se:vices <br /> The primary funcrions of a home health aide are to perform therapeutic, <br /> - � supporrive and/or compensatory health and personal care tasks and <br /> acziviries for participants in their homes. Home health aide services must, <br /> be provided by a certined home healtli agency and assigned and <br /> pe�ormed under the supervision of a re�istered professional nune or <br /> . � III-4 <br /> Rev• 1 �6/9� <br />